Missing early caries / recurrent caries on bitewings
What it is
Failing to detect early interproximal caries on bitewing radiographs, or missing recurrent (secondary) caries forming at the margins of existing restorations. The lesion is visible on the film but overlooked during interpretation.
Why it happens
• Rushed radiograph interpretation — especially in busy clinics with multiple patients • Poor-quality radiographs (incorrect angulation, underexposure, digital sensor noise) • Failure to use a systematic viewing protocol (e.g., quadrant-by-quadrant, tooth-by-tooth) • Not adjusting brightness/contrast on digital images • Viewing on a small or uncalibrated screen with ambient light • Distraction by more obvious pathology elsewhere on the film • Assumption that no patient complaint = no caries • Not comparing with previous radiographs to detect subtle progression
The full clinical mistake entry includes
- How to avoid it — the prevention protocol
- The clinical tip experienced clinicians use
- The documented reference behind the mistake
More clinical mistakes
Dentalverse is an educational resource for dental students and dentists. This page is a study reference — it is not medical advice and does not replace clinical judgment. Always follow your institution's protocols and your supervisor's guidance.